Fat Soluble Vitamins: D, E & K

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Questions and Answers

What is the active form of vitamin D known as?

  • Cholecalciferol
  • Calcitriol (correct)
  • Calciferol
  • 25-hydroxycholecalciferol

Which organ is primarily responsible for the activation of vitamin D into its active form?

  • Intestine
  • Liver
  • Skin
  • Kidney (correct)

Which protein is 25-hydroxycholecalciferol bound to in plasma?

  • Albumin
  • Calcium binding protein
  • Globulin
  • Vitamin D binding protein (VDBP) (correct)

What stimulates the activation of 1α-hydroxylation of vitamin D?

<p>Parathyroid hormone (B)</p> Signup and view all the answers

Which vitamin D metabolite is primarily responsible for increasing intestinal absorption of calcium and phosphorus?

<p>Calcitriol (C)</p> Signup and view all the answers

What effect does low doses of calcitriol have on bone?

<p>Promotes bone formation (D)</p> Signup and view all the answers

How many hydroxyl groups does calcitriol contain?

<p>3 (C)</p> Signup and view all the answers

At high doses, which metabolite of vitamin D may promote bone resorption?

<p>24,25-dihydroxycholecalciferol (A)</p> Signup and view all the answers

What is the role of the vitamin D receptor (VDR) in gene expression?

<p>It binds to retinoic acid X receptor (RXR) to regulate gene expression. (B)</p> Signup and view all the answers

Which of the following is a specific function of vitamin D?

<p>Stimulating expression of calcium binding protein (C)</p> Signup and view all the answers

What is a primary function of alpha-tocopherol, the most active form of vitamin E?

<p>It acts as a natural anti-oxidant. (B)</p> Signup and view all the answers

How does vitamin E protect against aging?

<p>By preventing the peroxidation of lipids. (B)</p> Signup and view all the answers

What is the relationship between selenium and vitamin E?

<p>Selenium reduces the dietary requirement of vitamin E. (C)</p> Signup and view all the answers

In which cellular process does vitamin E act as a cofactor?

<p>Electron transfer system of mitochondria (D)</p> Signup and view all the answers

What is the consequence of vitamin E’s antioxidant properties on red blood cells?

<p>Protection from hemolysis (B)</p> Signup and view all the answers

Which function is NOT associated with vitamin D?

<p>Enhancing glucose metabolism (C)</p> Signup and view all the answers

What is the primary function of Vitamin K in the body?

<p>Synthesis of blood clotting factors (A)</p> Signup and view all the answers

Which vitamin K derivative is known to have a 20C side chain?

<p>Phylloquinone (D)</p> Signup and view all the answers

How do warfarin and dicoumarol inhibit blood clotting?

<p>By competing with vitamin K for carboxylation processes (C)</p> Signup and view all the answers

What role does osteocalcin play in the human body?

<p>Promoting bone mineralization (A)</p> Signup and view all the answers

Which structural protein is specifically formed in osteoblasts and interacts with hydroxyapatite?

<p>Osteocalcin (B)</p> Signup and view all the answers

Which of the following best describes the function of Vitamin K in mitochondria?

<p>Electron transport and oxidative phosphorylation (D)</p> Signup and view all the answers

What is the role of the methyl group at C2 in Vitamin K?

<p>It contributes to the activity of the vitamin (C)</p> Signup and view all the answers

Which vitamin is necessary for the synthesis of osteocalcin?

<p>Vitamin D3 (C)</p> Signup and view all the answers

Which vitamin is formed from 7-dehydrocholesterol in the skin upon exposure to UV rays?

<p>Vitamin D3 (B)</p> Signup and view all the answers

What is the primary animal source of Vitamin D3?

<p>Egg yolk (D)</p> Signup and view all the answers

What is a poor source of Vitamin D3?

<p>Milk (B)</p> Signup and view all the answers

Which compound can be converted into Vitamin D2 through UV exposure?

<p>Ergosterol (D)</p> Signup and view all the answers

What distinguishes ergosterol from 7-dehydrocholesterol?

<p>An extra methyl group in its side chain (B)</p> Signup and view all the answers

What is the primary reason ergosterol is not considered a significant dietary source of Vitamin D?

<p>It is poorly absorbed in the intestines. (C)</p> Signup and view all the answers

Which vitamin can be commercially produced by exposing ergosterol to UV light?

<p>Vitamin D2 (D)</p> Signup and view all the answers

What is a principal function of Vitamin D?

<p>Calcium homeostasis (A)</p> Signup and view all the answers

Flashcards

Vitamin D

A fat-soluble vitamin that is important for calcium absorption and bone health. It is naturally found in foods like fatty fish, egg yolks, and cod liver oil.

Vitamin D3 (cholecalciferol)

A form of vitamin D produced in the skin from 7-dehydrocholesterol upon exposure to UV rays (sunlight).

Vitamin D2 (ergocalciferol)

A form of vitamin D produced from ergosterol (a plant sterol) by UV irradiation. It can also be found in some foods, especially fortified options.

7-Dehydrocholesterol

A sterol precursor to vitamin D3 found in human skin. It is converted to vitamin D3 when exposed to ultraviolet radiation.

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Ergosterol

A sterol precursor to vitamin D2 found in plants and fungi. It is converted to vitamin D2 upon exposure to UV irradiation.

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Vitamin D synthesis

The process by which vitamin D is synthesized in the skin when exposed to ultraviolet B (UVB) radiation from sunlight.

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Dietary sources of vitamin D

Dietary sources of vitamin D, such as fatty fish, egg yolks, and fortified foods. These sources provide preformed vitamin D that can be directly absorbed by the body.

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Vitamin D supplements

Supplements containing vitamin D, which can be taken orally to meet the recommended daily intake.

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25-hydroxycholecalciferol

The major storage form of vitamin D, produced in the liver by the enzyme 25-hydroxylase.

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1,25-dihydroxycholecalciferol (Calcitriol)

The active form of vitamin D, produced in the kidneys by the enzyme 1-alpha-hydroxylase.

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Intestinal Calcium Absorption (Calcitriol)

The mechanism by which calcitriol regulates calcium and phosphorus absorption in the intestine.

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Renal Calcium Reabsorption (Calcitriol)

The mechanism by which calcitriol regulates calcium and phosphorus reabsorption in the kidney.

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Bone Metabolism (Calcitriol)

The role of calcitriol in bone formation and resorption.

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Calcitriol (Mechanism of Action)

A steroid hormone that regulates calcium and phosphorus metabolism.

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Menadione (Vitamin K3)

A synthetic compound that acts as Vitamin K. It is used as a dietary supplement.

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γ-Glutamyl Carboxylase

An enzyme that requires Vitamin K as a cofactor. It converts glutamic acid residues in blood clotting factors to γ-carboxyglutamic acid.

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γ-Carboxyglutamic Acid

A modified glutamic acid residue found in blood clotting factors. It binds calcium, essential for blood clotting.

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Osteocalcin

A protein found in bone that plays a role in bone mineralization by tightly binding to hydroxyapatite crystals. Its function depends on γ-carboxylation.

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Warfarin & Dicoumarol

These drugs are structural analogs of Vitamin K and competitively inhibit γ-glutamyl carboxylase, leading to reduced blood clotting.

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How does Vitamin D regulate gene expression?

Vitamin D enters the cell and binds to a nuclear receptor called Vitamin D receptor (VDR). VDR then combines with Retinoic Acid X Receptor (RXR) forming a heterodimer that interacts with specific DNA sequences called Vitamin D Response Elements (VDREs) in the promoter region of target genes. This interaction regulates the expression of these genes, ultimately mediating vitamin D's biological activity.

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What is Calbindin's role in calcium absorption?

Calbindin is a protein that facilitates the transport of calcium across intestinal epithelial cells, increasing calcium absorption in the gut.

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What is the primary function of Vitamin E?

Vitamin E, a potent antioxidant, acts primarily in the lipid phase of cells, protecting them from damage caused by free radicals.

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How does Vitamin E protect red blood cells?

Vitamin E protects red blood cells (RBCs) from hemolysis by preventing the peroxidation of lipids within the cell membrane.

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What other vitamins does Vitamin E protect?

Vitamin E protects vitamin A and carotenoids from oxidative destruction by free radicals, ensuring their stability and function.

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How does Vitamin E contribute to cardiovascular health?

Vitamin E can reduce the risk of atherosclerosis by preventing the oxidation of LDL cholesterol, a key factor in plaque formation within blood vessels.

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What is Vitamin E's role in mitochondria?

Vitamin E is an important cofactor in the electron transfer system within mitochondria, playing a role in cellular energy production.

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How does selenium relate to Vitamin E?

Selenium, another antioxidant, acts as a second line of defense, complementing the effects of Vitamin E by reducing its dietary requirement. Selenium is also essential for normal pancreatic function, which enhances the absorption of Vitamin E.

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Study Notes

Fat Soluble Vitamins 2: Vitamins D, E & K

  • Vitamin D (Cholecalciferol): Two types naturally occur:

    • Vitamin D2 (Ergocalciferol): Provitamin is ergosterol. Sources include yeast, mushrooms, or plants contaminated by fungi.
    • Vitamin D3 (Cholecalciferol): Provitamin is 7-dehydrocholesterol. Sources are animal-based, including fatty fish (tuna, mackerel, salmon), cod liver oil, egg yolk, and beef liver.
  • Vitamin D Formation:

    • Vitamin D3: Formed in the skin when exposed to UV rays. Dietary sources are less prominent for obtaining adequate amounts of Vitamin D3.
    • Vitamin D2: Can be formed in the skin by UV exposure of ergosterol.
  • Vitamin D Structure:

    • Ergosterol differs from 7-dehydrocholesterol by a side chain: Vitamin D2 (ergocalciferol) has an unsaturated side chain while Vitamin D3 has a saturated side chain.
    • UV radiation cleaves the B ring of both compounds, producing active Vitamin D.
  • Vitamin D Metabolism & Actions:

    • Metabolism: Cholecalciferol is activated by the liver and kidneys into its active form, 1,25-dihydroxycholecalciferol (calcitriol), which is crucial for calcium and phosphorus absorption.
    • Action: 1,25-dihydroxycholecalciferol (calcitriol) has critical roles in maintaining bone health, calcium regulation, and intestinal absorption of calcium and phosphorus. It promotes bone formation at low doses and bone resorption at high doses.

Vitamin E

  • Structure: Four main naturally occurring types: α, β, γ, δ tocopherols. α-tocopherol is the most potent.

  • Functions:

    • Antioxidant: Crucial lipid-phase antioxidant.
    • RBC Protection: Protects red blood cells from hemolysis.
    • Cell Protection: Preserves cell structure and function from oxidative damage.
    • Vitamin A & Carotenoid Protection: Protects these compounds from destruction due to free radicals.
    • Aging: Reduces the effects of aging due to oxidative damage.
    • Immune function: Boosts the immune response.
    • Energy Production: Essential cofactor in mitochondrial electron transfer systems.
    • Fertility: Crucial for fertility in some animal species.
    • Selenium: Working in conjunction with selenium, it enhances the absorption of vitamin E.

Vitamin K

  • Structure:

    • Vitamin K1 (Phylloquinone): Has a 20-carbon side chain.
    • Vitamin K2 (Menaquinone): Has a 30-carbon side chain.
    • Vitamin K3 (Menadione): Synthetic form.
  • Functions:

    • Blood Clotting Factors: Necessary for synthesizing blood clotting factors II, VII, IX, and X in the liver.
    • Gamma Carboxylation: Vitamin K is essential for the gamma carboxylation of glutamic acid residues for blood clotting factors.
    • Calcium Binding: Carboxylated glutamic acid residues facilitate calcium binding, crucial for blood clotting.
    • Anticoagulants: Warfarin and dicoumarol are anticoagulants; they inhibit vitamin K carboxylation due to structural similarities with vitamin K.
    • Bone Health: Crucial in the binding of calcium and phosphate in the bone matrix, regulating bone mineralization, and synthesis of osteocalcin.
    • Electron Transport: Involved in electron transport and oxidative phosphorylation. Important for ATP formation.

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